SHANE NEWSOM

ALBUQUERQUE, NM
NPI1578184990
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171W00000X Contractor
Enumeration Date2020-04-27
Last Update Date2020-04-27
Business Address
SHANE NEWSOM 390200000X
12300 MODESTO AVE NE
ALBUQUERQUE, NM 87122-2232
Phone number: 505-553-4835
Mailing Address
SHANE NEWSOM 390200000X
12300 MODESTO AVE NE
ALBUQUERQUE, NM 87122-2232
Phone number: 505-553-4835